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At least 433 records · Page 24Linked to original sources

New considerations in the treatment of compromised third molars.

Management of asymptomatic malposed third molars is a controversial topic. As a result, many malposed or mildly pathologic third molars are not removed. Historical pro and con arguments regarding removal centered around cost and the aspects of the surgical removal itself. Current epidemiology and medical advances address issues not considered before. There is a large growth of the aging population (over 40 years). More and more of these elderly patients are requiring third molar removal. Over a five-year period, 1997-2002, the incidence almost doubled to 17.9 percent. This age category is known to be high risk for third molar surgery. An equally or higher risk is the rapidly growing number of patients seeking third molar surgery who are moderately severely medically compromised. This paper reviews how this lack of consensus results in delayed removal of malposed third molars in this population. Preventive dental concepts, removing compromised third molars earlier, would eliminate the high risk to this aging population.

Adult↗

Treatment of a patient with unerupted mandibular molars, lateral open bite, and class II subdivision malocclusion.

This case report describes the treatment of a patient with three unerupted mandibular right molars and a lateral open bite in a Class II subdivision malocclusion with mandibular arch asymmetry. Sequential uprighting and traction of the three mandibular unerupted teeth with a compressed open-coil spring, reverse sliding jig, and light force system was used in the treatment and are described in detail. The results remained stable during the 8-year 6-month posttreatment and 4-year postretention periods.

Adolescent↗

Dental anomalies in two patients with incontinentia pigmenti.

Incontinentia pigmenti (IP) is a rare X-linked dominant inherited disorder which has a variety of ectodermal aberrations. Skin hyperpigmentation is the most characteristic feature of IP. However, extracutaneous anomalies involving dentition, hair, eyes, and central nervous system are also found. The dental anomalies reported include peg-shaped or malformed teeth, hypodontia, delayed eruption, and impacted tooth. This report describes the dental anomalies in 2 IP patients who had the characteristic features of skin hyperpigmentation. One was a 13-year-old girl who had slender cone-shaped permanent anterior teeth, hypodontia, and delayed eruption of teeth which are characteristic dental anomalies in an IP patient. The other was a 10-year-old girl who only had 2 tulip-shaped maxillary permanent central incisors with shorter tapering roots but no congenital missing teeth or delayed eruption of teeth. Our findings suggest that IP may present a broad variation of dental anomalies individually. However, the characteristic finding of permanent anterior teeth with a longer crown and a shorter root found in both of our IP patients may be worthy of consideration in the differential diagnosis of IP.

Adolescent↗

[Oral and maxillofacial manifestations of familial adenomatosis polyposis. Gardner's syndrome].

Patients suffering from familial adenomatosis polyposis develop multiple pre-malignant gastrointestinal polyps and are at high risk of developing colon cancer. In addition extra-intestinal manifestations are observed frequently. The combination of extra-intestinal manifestations and familial adenomatosis polyposis is named Gardner's syndrome. An early diagnosis of this disease is important because it could mean a better prognosis for the patient. This review describes the oral and maxillofacial symptoms of FAP, and its potential implications for dental treatment.

Abnormalities, Multiple↗

Impaired tooth eruption: a review.

Eruption is the continuous process of movement of a tooth from its developmental location inside the jaw to its functional location in the mouth. Impaired tooth eruption, where this process is disturbed, is common in dental practice. It may manifest either as delayed or complete absence of eruption. Although unerupted teeth are usually asymptomatic, they may cause cosmetic and pathologic complications. The purpose of this article is to provide a review on the pathogenesis and differential radiographic interpretation of impaired tooth eruption.

Amelogenesis Imperfecta↗

[Diagnostic possibilities of digital volume tomography].

Cone beam computed tomography allows high quality 3D images of cranio-facial structures. Although detail resolution is increased, x-ray exposition is reduced compared to classic computer tomography. The volume is analysed in three orthogonal plains, which can be rotated independently without quality loss. Cone beam computed tomography seems to be a less expensive and less x-ray exposing alternative to classic computer tomography.

Adult↗

Non-syndrome associated multiple supernumerary teeth: a report of two cases.

Multiple supernumerary teeth are usually associated with syndromes. On the contrary, multiple supernumerary teeth without association with any syndromes are very rare. This article presents a report of two cases with multiple supernumerary teeth not associated with any syndrome and emphasizes the routine advice of orthopantomogram whenever a single supernumerary tooth is detected irrespective of whether the patient has any syndrome or not.

Adolescent↗

[The possibility of orthodontic therapy in transplanted teeth].

The paper reports four cases of tooth transplant: two teeth were transplanted once they were fully mature (completely formed roots) and two were transplanted as germs. Having documented the clinical and radiological recovery for all four teeth, orthodontic braces were applied for a variety of reasons. In the two cases of teeth transplanted once the roots had completely formed it was impossible to move the teeth, whereas in the case of the germ transplants the teeth were quickly moved to a correct occlusal position. On the basis of these different reactions, the author assesses the possibility of histological recovery of the tooth transplant. Repeated radiographic controls showed anomalies in radicular formation and of the camera pulposa. Lastly, the paper discusses the optimal time to transplant a tooth germ.

Child↗

Unerupted incisors: a case report illustrating an attractive solution.

A case is described in which, after removal of midline supernumerary teeth on two separate occasions, an unerupted central incisor was brought into the arch with the aid of neodymium-iron-boron magnets. Once the incisor was visible, a pre-adjusted upper edgewise appliance was used to guide the tooth into its correct position.

Child↗

[A clinical contribution to the conservative surgical therapy of giant follicular cysts of the mandible].

Three clinical cases of mandibular giant follicular cyst were described. Personal experience with an initial conservative approach is described and some interesting conclusions about the short time of bone new generation of maxillary are presented. As soon as possible, the extraction of impacted tooth will be made without the risk of mandibular fracture or vascular-nervous lesions.

Adult↗

[Localization of retained teeth in radiogram].

The purpose of the study was evaluation of various possibilities of localization of retained teeth. The study was carried out on 86 patients referred to the Department of Conservative Stomatology, Institute of Stomatology Medical Academy in Lublin. Retained teeth were discovered in them accidentally or in examinations for various symptoms. On the basis of history data, clinical examination and radiological findings the following localization of retained teeth was recognized: 1) lateral or anterior part of the mandible, 2) lateral or anterior part of the maxilla, 3) maxillary sinus or its vicinity, 4) ascending ramus or condular process, 5) vicinity of the lower orbital margin and piriform fossa.

Humans↗

[Tooth retention in the anterior region].

Bibliography was researched in pursuit of an improved classification of retained canine teeth that may, ideally, prove to be simpler, easy to apply in any individual case, and uncomplicated to remember. Desirably, such classification would allow establishing the location of each retention in the maxilla, mandible, or both, and its relationship with adjacent structures. Additionally, a proposal was put forth for a retained canine teeth classification that may clearly and simply outline the retention, be easily understood and remembered, and may also apply to retained dentary organs with some similarity to canines as to their shape and root number.

Cuspid↗